DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT P PETERSON, DO

Active

BRENT P PETERSON, DO is a Neurological Surgery healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1427080894 is currently active in the NPPES registry. Verify at CMS.

Neurological Surgery · FAYETTEVILLE, AR

Registration Details

NPI Number
1427080894
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2006 (20.060896403101 yrs)
Last Updated
Jan 10, 2019
Licenses
2003013356 (MO)
E-11020 (AR)

Practice Information

Address
3336 N. FUTRALL DRIVE
FAYETTEVILLE, AR, 72703
Browse AR providers · Browse ZIP 72703
Phone
4794633000
Fax
4794633050
Primary Specialty
Neurological Surgery
207T00000X
Additional Specialty
Neurological Surgery

Other Neurological Surgery Providers in FAYETTEVILLE, AR

Name Credential NPI
DR. JAMES BLAIR BLANKENSHIP MD 1245202274
KELLY RICHARD DANKS MD 1609823780
DAVID LUKE KNOX MD 1275573255
DR. LARRY GENE ARMSTRONG DO 1386671790
DR. JOHN CARLO BARR M.D. 1518178318
BRANDON EVANS MD 1841491925
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.